Organization
EASTERN SHORE ENDODONTICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARTLEY THOMAS QUILLIN D.D.S. (OWNER)
(410) 742-7007
Entity
Organization
Contact information
Practice address
1411 WESLEY DR, SALISBURY, MD 21801-7130
(410) 742-7007
Mailing address
1411 WESLEY DR, SALISBURY, MD 21801-7130
(410) 742-7007
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10556
MD
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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